Active NPI
Keatley Covington
- Behavior Technician
- Evanston, IL
National Provider Identifier
1487423703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB739990
- Practice address
- 1638 Maple Ave
Evanston, IL 60201-3602 - Phone
- (877) 486-4140
- NPI assigned
- Dec 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB739990 | AR | Primary |
Addresses
Primary practice location
1638 Maple Ave
Evanston, IL 60201-3602
Mailing address
5200 N Sheridan Rd Apt 522
Chicago, IL 60640-2552
Phone (870) 362-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB739990 | AR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1487423703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 N SHERIDAN RD APT 522",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402552",
"telephone_number": "870-362-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 MAPLE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013602",
"telephone_number": "877-486-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVINGTON",
"first_name": "KEATLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-28",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": "BACB739990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.